Tag Archives: There are 72 Hours in a Day

One of the reasons I enjoy writing this blog is it brings me closer to understanding you. As you respond to posts or query me, I get to better appreciate the breadth of your concerns. I realize that much of what physicians do in clinical practice is talk AT you. Sometimes physicians assume that you know better because we do. Your issues often involves uncertainty about the nature of your symptoms, and, in real-time, you tend not to appreciate that symptoms are incredibly non-specific, meaning the same set of symptoms show up in multiple diseases and conditions (as you’ll noted from the picture below featuring possible symptoms of celiac disease). Many times, you’ll be researching a topic on the Internet, see symptoms you have and say, “That sounds like me! That must be what I have.” The relationship of symptoms to disease really isn’t anywhere near that linear.

Weight loss is an example of something patients think about differently than physicians. When a patient wants to lose weight, s/he may think of everything under the sun from the latest diet craze, surgery or other potential “quick-fixes.” On the other hand, a physician will parrot something about calorie control, healthy eating and exercise, assuming you know better than to entertain miscellaneous information aimed to strike fear into your hearts or give you false expectations. (If you need a refresher on that consideration, check here.) In many of these instances, physicians may never even address your questions, because we’re so busy promoting the standard of care.

This month, we’ve been discussing nutrition with probably a dozen different blogs posted on various topics. Do you think the most common questions I’ve received have involved application of the healthy eating plate or simple tips to healthier eating? Nope. They’ve been more along the lines of esoteric concerns – or at least concerns that only affect rare segments of the population – so much so that physicians typically wouldn’t even think to discuss them with patients.

Two such discussions involve the consumption of gluten and wheat. Let’s answer those questions and clear up any confusion you may have. Thank you for your willingness to engage in straight talk. Indeed, your concerns are real, and our mission at Straight, No Chaser and www.sterlingmedicaladvice.com is to get you the information and advice you need.

What is gluten?

Gluten an important protein found in all forms of wheat, barley and rye. It is also found in other foods such as deli meats, soy sauce, vitamins, some chocolate, some toothpaste and imitation crab. For the purpose of this blog, let’s relegate your wheat concerns to gluten.

Why do I care about gluten?

You probably don’t and probably shouldn’t, unless you have a specific disease called celiac disease, which is related to the adverse effects of an extreme sensitivity to gluten. Some humans (only some and not many at all) have difficulty digesting gluten. In fact, the ingestion of gluten in those with celiac disease can cause damage to the intestinal lining, causing chronic (ongoing, continuous) diarrhea and abdominal pain. This can result in potentially life-threatening concerns, but it only occurs in less than 1% of the population.

The other reason you may have heard about gluten is the existence of a diet craze based on avoiding gluten (having to do partially with limiting carbohydrates).

Why is this an issue?

As societies have moved to diets with higher consumption of refined wheat flour, the sensitivity to gluten has expressed itself more often. As is often the case, when you over consume or are overexposed to substances, danger ensues. That is not the same as saying you need to avoid any and everything on earth that could potentially cause you harm.

Do I need to give up wheat and gluten completely?

Absolutely not, unless you have celiac disease or demonstrated allergies to these substances. This is simply another example of your needing to understand the issue. As with most overstated concerns, solutions are to be found in the same principles of healthy eating described throughout Straight, No Chaser. (Feel free to research our many topics by typing your topic of interest into the search engine over on the right side of the page.)

In this instance and others, what happens all too often is folks create new problems running from other, perceived ones. Substituting high-calorie, high-fat products for wheat and other products containing gluten is not a healthy decision and has been shown to increase weight gain and the risk of diabetes. The principles of any successful efforts to diet remain the same. Your best bet is to learn principles of healthy eating and incorporate calorie control and exercise into your regimen. Embrace moderation across the board, and enjoy learning to make healthy eating an adventure by adding variety to your meals.

One final caveat: There’s nothing wrong with, and potentially much to gain from, asking your physician about your individual risks for celiac disease. Just understand that unless you have the symptoms (e.g., diarrhea, abdominal pain, bloating, fatigue, headaches and joint pains to name a few), you likely will cause your physician to scratch her or his head.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

It is interesting and, even more, curious to hear everyone obsess over how esoteric and rare conditions can potentially kill you. Word to the wise: Common things happen commonly. I’m going to make this a very simple post (with links to previous Straight, No Chaser posts covering the individual topics in greater detail). Let’s help you extend your life expectancy by offering very simple tips (three to five for each) to prevent and combat the five most common causes of death. This list is by no means comprehensive, but if you follow the achievable steps mentioned, you’ll be much better off than if you don’t.

According to the Center for Disease Control and Prevention (CDC), here are the five most common causes of death in the United States for the year ending 2010. (It takes awhile to compile data, but these are basically the leading causes year after year.) I’ve also included the number of annual deaths per condition.

Exercise daily. Walk at least two miles each day. It’s a final common denomination of other problems and is a major contributor to cardiovascular disease. You want your LDL (“bad cholesterol” levels) low and your HDL (“good cholesterol” levels) high. If your LDL and/or overall levels are high, it’s an immediate prompt to reduce your belly, change your diet and exercise more.

If you’re going to swim, and even if you know how to swim, take a formal lesson that focuses on life-saving maneuvers.

Install smoke and carbon monoxide detectors in your home.

There is no fountain of youth. Your cure won’t be found in a bottle, a fad or any other quick fix. It really is about diet, exercise and risk management. The choices you make matter. Remember, although these tips were focused on prevention, early detection and treatment at the time of crisis give you the best chance to survive. Learn early detection of heart attacks and strokes, learn CPR, get screened for cancer and learn how to survive car crashes. It’s not that hard.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

This edition of Straight, No Chaser is a keepsake, whether for your own reference or as a conversation piece/teaching guide for others. I suspect that due to the volume and wealth of information contained within, you’ll refer to this post time and again (or so I hope). For additional information, refer to the U.S. Center for Disease Control and Prevention and/or the National Institutes of Health websites.

STAYING STD-FREE

The best ways to stay STI free is to confirm it and then avoid it. If you want to reduce your risk of acquiring HIV and other STIs (sexually transmitted infections) through sexual contact, here are your options.

Abstain from sex.

Be monogamous.

Prove both you and your partner(s) are negative. Get yourself and your partner(s) tested, preferably prior to engaging in sexual activity and subsequently every three to six months, especially if you and/or your partner have more than one sexual partner.

If and once you establish that you’re STI-free, learn how to use condoms and do so every time you have sex.

A special note about protecting yourself from HIV

HIV can be spread by having unprotected sexual contact with an HIV-positive person. “Unprotected” means any vaginal, anal or oral sex without barrier protection, like a condom or dental dam. Some of the ways to reduce your risk of getting HIV through sexual contact include the following:

Don’t have sex. Abstinence is the best way to be certain that you won’t contract HIV. Although HIV is occasionally transmitted in other ways, vaginal, anal and oral sex are the most common ways that HIV is transmitted.

Be monogamous. To be clear, this means you are in a sexual relationship with only one person and both of you are having sex only with each other. For the purposes of contracting HIV, sex includes vaginal, oral or anal sexual activity. Monogamy is optimally effective if you also confirm early and often that both you and your partner are not infected with HIV.

Get yourself and your sexual partner(s) tested: Knowing your own status is important for both your health and the health of your partner. Talking about your HIV status likely will be difficult and uncomfortable, but it’s important to start the discussion BEFORE you have sex.

FRANKLY, “DON’T ASK, DON’T TELL” IS JUST DUMB WHEN IT COMES TO STIs.

This is actually quite simple. No excuses. You need to ask your sexual partner(s) and any possible future partners the following questions.

Have you been tested for HIV, herpes, gonorrhea, syphilis and/or chlamydia?

When was the last time you were tested for HIV, herpes, gonorrhea, syphilis and/or chlamydia?

If you’ve been tested, what were the results of your tests?

SAFER-SEX ACTIVITIES
These activities carry no risk of HIV transmission:

Non-sexual massage

Casual or dry kissing

Masturbation (without your partner’s body fluids)

Frottage—also known as “dry humping” or body-to-body rubbing

You can still contract other STIs, like herpes, HPV, or pubic lice (“crabs”) if you have bare skin-to-skin contact with your partner.

CONDOM USE

Here are two questions for both males and females.

Have you ever learned how to safely and appropriately use condoms?

Do you use condoms consistently?

To maximally reduce your risk of getting HIV or other STIs, you must use a new condom with every act of vaginal, anal or oral sex. If you don’t use them for oral but do for vaginal and anal, you have still lowered your risk, just not as much as you could have. Also, you must use condoms correctly, as depicted in the above diagram, to appropriately reduce your risk. Learning correct usage also will keep condoms from breaking or slipping off, which reintroduces the risks.

I also want you to understand that all condoms are not created equal. Latex condoms are highly effective against HIV and other STIs. Do you or your partner have a latex allergy? If so, the next safest condom choice is a polyurethane or polyisoprene condom. Just tell your pharmacist at the drug store that you’re allergic to latex, and s/he’ll take it from there. On the other hand, lambskin condoms do NOT protect against HIV. The particle size of the virus allows it to maneuver and slip through lambskin.

Condoms alone have never been enough. Did you know that you should always use a water-based lubricant when you use a condom for either vaginal or anal sex? I want to restate this: that’s water, not petroleum jelly. Water-based lubricants reduce friction and help keep the condom from breaking. Do NOT use an oil-based lubricant (such as petroleum jelly, hand lotion or cooking oil). Oil-based lubricants can damage condoms, making them less effective.

Both male condoms and female condoms will help protect you against HIV and other STIs. If you’ve learned to enjoy sex with a male condom, you can learn to enjoy it with a female condom or a dental dam. Additionally, there are many of you who have contracted STIs. If you wish to continue to enjoy a variety of sexual activities, learning to use the full range of barrier protection may be a better option for you and your partner than abstaining.

Condoms do not provide 100% protection against all STIs, but you are always safer using a condom than not. You can get certain STIs, like herpes or HPV, from contact with your partner’s bare skin, even if one of you is wearing a condom, but condoms lessen the risk. Take the time to explore and inspect each other if you’re confused or concerned about the possibility of your partner having an STI.

Spermicides only serve the purpose of reducing the risk of becoming pregnant. They are ineffective in preventing contraction of HIV and other STIs. They actually irritate rectal and vaginal walls, in effect increasing the chances of HIV infection, should infected fluids come into contact with these areas.

ABOUT SEX TOYS

This is pretty straightforward. Using sex toys can be safe, but think of staying clean and “not sharing.”

It is important that you use soap and water to clean your toys after each use. If the instructions allow for a stronger disinfectant, you may do so.

As a rule, don’t share your toys. The nature of how toys are typically used likely increases the risk of vaginal or anal irritation, which increases the risk for HIV or other STI transmission.

If you “must” share your toy with your partner while still trying to be safe, use a condom on the toy before you use it, and change the condom before your partner uses it.

CIRCUMCISION
We’ve discussed circumcision at length in Straight, No Chaser. (Click here for a dedicated post on circumcision.) There has been ongoing interest and research over the past few years about circumcision and its effect on preventing HIV infection. The bottom line? In 2007, the World Health Organization reported that male circumcision reduced the transmission of HIV by 60% from women to men in three randomized, controlled studies in Uganda, Kenya, and South Africa.

There is much less available data for men who have sex with men and how circumcision might affect HIV transmission through anal sex. In addition, recent studies show that circumcision does NOT protect women from contracting HIV from male partners.

Let’s be careful in interpreting the results of these findings.

Circumcision is only additionally effective when earlier preventative efforts have not been taken. Advocating circumcision is not an appropriate substitute for any of the numerous safety measures and habits previously discussed to reduce one’s risk for HIV and other STIs.

Failure to have a circumcision does NOT increase one’s HIV and other STI risk in the presence of appropriate safe-sex activities.

So there you have it. Knowledge is power. We appreciate that this posting was not balanced by the human decisions and passions that come into place with sexual activity. We recommend that you adopt a posture of “safety first” to create that balance! Good luck, and feel free to ask your SMA expert consultant any questions you may have on this topic.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

As you may know if you’re a regular reader, Straight, No Chaser is big on you enjoying life and making healthy choices while doing so. In that spirit, on this day of roses and chocolates, we’re here to share with you the benefits of dark chocolate.

That’s right. Chocolate does have health benefits, but all chocolate is not created equal. If your loved one gives you chocolates today, that’s great (if that’s your thing). If s/he gives you dark chocolate, that’s an extra level of loving!

Straight, No Chaser has previously discussed the health benefits of antioxidants. Here’s the thing: antioxidants are substances that prevent or delay cell damage caused by free radicals. Free radicals are molecules that are byproducts of many activities that create cell damage. Think about cigarette smoke, trauma (even excessively vigorous exercise), excessive heat and sunlight (and its radiation), to name a few examples. The process of creating and releasing these molecules is called oxidation. The key point is free radicals are unstable and too many of them lead to a process called oxidative stress. This process is implicated in the development of many illnesses, including Alzheimer’s disease, cancer, cataracts and other eye diseases, cardiovascular diseases, diabetes and Parkinson’s disease. Antioxidants fight this process; this is why foods rich in antioxidants are called superfoods!

Here are the known benefits of dark chocolate:

It lowers blood pressure.

It increases the levels of antioxidants, which reduces the incidence of heart disease of other conditions.

It potential slows the onset of many (if not any) disease made likely by increased levels of free radicals. This points to benefits for brain health, slowing aging, cancer prevention and many other conditions.

Don’t drink milk while enjoying your dark chocolate; it appears to interfere with the body’s absorption of the dark chocolate.

Go for European dark chocolate if available. It’s richer in cocoa phenols (the specific compounds known to lower blood pressure).

Remember that a dark chocolate diet is not a thing! This is you making healthy choices even as you enjoy sweets.

So if you’re going to chomp down on a truffle or bon-bon today, make it dark chocolate. And hold the milk. Happy Valentine’s Day!

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

We’ve previously discussed how to address choking in adults. Today, we address the twin horrors of needing to save a baby’s life (those younger than 12 months old) from choking and how to help yourself if no one else is around to help.

In case you didn’t realize it, infants haven’t had time to accumulate enough disease and toxins to have heart attacks in the way adults do. When they are in a life-threatening situation, it’s far more likely to be from a respiratory cause, such as choking. Infants and young children are exploring their world and seemingly will place most anything near or in their mouths. Too often this leads to choking. Please keep this in mind if you’re ever faced with an infant in danger.

In discussing how to help a child in danger, let’s focus on two considerations: how to assess the situation and how to act.

It is vital to assess these situations accurately. There are important splits in treatment algorithms based on your assessment.

Simply put, the first thing you want to do is determine the infant’s level of responsiveness. For the purposes of this discussion, let’s assume we’re discussing conscious choking.

If an infant is suddenly unable to cough or cry, it’s a reasonable to assume that something may be blocking the airway.

When this is the case, help will be needed getting the object out.

If an infant is coughing or gagging, it’s likely that the airway may be partially blocked.

Coughing is actually the most effective way to dislodge an object, so you shouldn’t interfere in this setting.

If an infant is somewhat responsive in the context of a recent insect bite, bee sting or other possible allergic exposure, the throat could be closing because of an allergic reaction.

When this is the case, you are facing a potential life-threatening emergency. Call 911 immediately.

When you’ve made your assessment, your next step (unless you’re performing CPR, calling 911 or the child is still coughing) is to try to assist in getting the object out. Think “back blows, chest thrusts, repeat unless the infant gets unconscious.” Yes, that was meant to be a jingle.

Back blows:

Hold the infant face up on one forearm, and hold the back of his head with the hand.

Stabilize the infant’s front with your opposite hand and forearm.

Flip the infant face down so that he’s now in the control of the other forearm. Use your thumb and fingers to stabilize the jaw while flipping. Lower your arm onto your thigh; now the baby’s head will be lower than his chest.

Using the heel of your hand, deliver five firm back blows between the infant’s shoulder blades in an effort to dislodge the object. Maintain head and neck support by firmly holding his jaw between your thumb and forefinger.

Finally, place the hand that had been delivering the back blows on the back of the baby’s head with your arm along his back. Carefully, turn him over while keeping your other hand and forearm on his front.

If you have dislodged the object and the infant is responsive and/or coughing, you are done. Otherwise, proceed to chest thrusts.

Chest thrusts

Use your thumb and fingers to hold his jaw while sandwiching him between your forearms to support his head and neck. Lower your arm that is supporting his back onto your opposite thigh, still keeping the baby’s head lower than the rest of his body.

Place the pads of two or three fingers in the center of the baby’s chest, just below an imaginary line running between his nipples. To do a chest thrust, push straight down on the chest about 1 1/2 inches. Then allow the chest to come back to its normal position.

Do five chest thrusts. Keep your fingers in contact with the baby’s breastbone. The chest thrusts should be smooth, not jerky.

Repeat

Continue alternating five back blows and chest thrusts until the object is forced out, the infant starts to cough forcefully, cry, breathe on his own or becomes unconscious. If he’s coughing, allow him to do so.

If the infant becomes unconscious

If a choking infant becomes unconscious, you should proceed to modified CPR as follows:

Open his mouth. If you can see an object, remove it with your little finger.

Give two rescue breaths. If you don’t see the chest rise, tilt his head and try two rescue breaths again. If his chest still doesn’t rise, do 30 chest compressions.

Check the mouth again, looking for an object. Remove it if seen.

Repeat the cycle with rescue breaths and chest compressions until help arrives.

Regardless of the outcome, the infant will need prompt medical attention.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

If you’re the type that is cool under pressure, you’re well positioned to think your way out of many dangerous situations. If you’re the type that’s inclined to panic, Stop! The life you save may be your own!

At Straight, No Chaser, we’re big on you knowing when to appropriately engage the healthcare system, knowing when you can contact us for advice and information, and knowing simple tips that can help you prolong your life. Here’s a very important example.

Think it through. If it happened today, how would you react if you choked on something and no one else was around?

As noted in the diagram, while perform this maneuver you can also lean over a chair, the edge of a table edge, couch or other object of similar height. In this example, you will quickly thrust your upper abdomen against the edge.

You should repeat this motion until the object blocking the airway comes out or until help arrives.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

So … what would you do if someone around you starting choking. Or if they choked, then lost consciousness? What would you do if you choked and no one else was around? Don’t you think you should know? Read on …

First things first. You’ve all heard of the Heimlich maneuver, even if you don’t know how to do it. My job today is to make this easy for you. My first task will be to pass on the physician’s mantra of “Do No Harm.” To that end, let’s start with things you shouldn’t do.

If the person is able to speak, don’t interfere.

If the person is coughing and still has a normal level of awareness, don’t interfere.

If the person is able to breathe in and out without excessive difficulty, don’t interfere.

If the person is conscious, don’t place anything in his/her mouth trying to extract an object.

Next, let’s review a few quick points to help you understand what could be going on.

Choking is occurring because something is blocking the airway (aka windpipe).

Choking is dangerous because complete blockage will prevent oxygen from circulating thorough the body.

Choking is deadly because without oxygen, permanent brain damage will likely occur in four to six minutes.

Partial blockage isn’t the same as complete blockage. The body has protective reflexes to deal with blockage. That’s what coughing is. Once blockage has become complete, you’re facing a life-threatening emergency, and the risks of doing something outweigh the risks of doing nothing.

It’s not that difficult to know if someone’s choking; they’re likely grabbing their throat. You would do well to know what it looks like if someone has already choked or is choking but can’t use his/her hands. Here are some clues:

Coughing may be increasingly weaker.

They likely will exhibit difficulty breathing.

They may be unable to speak.

Their skin may have a bluish or purplish color.

You may hear high-pitched musical sounds while they’re breathing.

They may have blacked out (from the blockage).

Here are universally accepted steps to the Heimlich maneuver (in someone not obese or pregnant):

Ask the person, “Are you choking?”

Then ask them to speak. If they can speak or are vigorously coughing, you watch and wait. If not, proceed.

Standing behind the person, wrap your arms around his/her waist.

Placing your thumb just above the belly button (navel), make a fist with one hand.

Grasp the fist with your other hand.

Thrust your fist quickly, upward and inward.

Repeat until the person either loses consciousness or the object is dislodged.

If the person is obese or pregnant, wrap your arms around the chest, not the abdomen. Place your fist between the nipples on the middle of the breastbone, and make firm thrusts back toward you.

If the person loses consciousness, there are four steps you must take.

If you see something blocking the airway, try to remove it.

Lower the person to the floor, preferably on his/her side until you start CPR or if vomiting starts.

Have someone call 911.

Begin CPR.

Of course, prevention is key. Take care to chew your food slowly and thoroughly.

Here are three more tips for those most at risk:

Children: Keep them away from small objects that can be placed in their mouths.

Elderly: Make sure their dentures fit appropriately.

Adults: Limit alcohol intake around the time of eating.

In an upcoming Straight, No Chaser, we’ll also add a post for you regarding how to handle yourself and infants (less than one year old) if choking.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!